MICHAEL ERIC TONEY D.P.M.
NPI 1023079639
Podiatrist in Jacksonville, FL

Active since March 31, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
3636 UNIVERSITY BLVD S, BLDG C, JACKSONVILLE, FL 32216(904) 731-1711(904) 731-9270 Get Directions Write a Review

NPPES record last updated: February 11, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Eric Toney D.p.m. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL ERIC TONEY D.P.M. (NPI 1023079639) is an individual podiatrist in Jacksonville, Florida, licensed in Florida (PO2158) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Barry University School Of Podiatric Medicine (1990).

NPPES Registry Identity

NPI1023079639
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameMICHAEL ERIC TONEYCredential: D.P.M.
Location Address3636 UNIVERSITY BLVD S, BLDG CJacksonville, FL 32216-4250
Mailing Address3636 University Blvd S, Bldg CJacksonville, FL 32216-4250 · (904) 731-1711 · Fax (904) 731-9270
Fax(904) 731-9270
Sole ProprietorNo
Medical School CMSBarry University School Of Podiatric MedicineGraduated 1990
Enumeration DateMarch 31, 2006
Last NPPES UpdateFebruary 11, 2010
NPI 1023079639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in FL · PO2158
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
3636 UNIVERSITY BLVD S, Jacksonville, FL 32216

Other Identifiers 7

Medicare PINCE918AFL
OtherP00757696FL · Railroad Medicare
Medicare PIN65238XFL
Medicare PIN21698
Other65238FL · Bcbs
Medicare PIN65238Y
Medicare UPINU32558FL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michael Eric Toney D.p.m. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507911831
PECOS Enrollment IDI20090909000706
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
738 services281 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
715 services262 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
216 services102 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
192 services101 patients
X-ray of foot, 2 views 73620
An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.
180 services100 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
108 services75 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier14 claims28 services$60.73 avg. paid by Medicare
For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5513
DME-Orthotic Devices · category DF000N
1 supplier14 claims84 services$37.44 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
3636 UNIVERSITY BLVD S, SUITE A-2
JACKSONVILLE, FL 32216
Podiatrist
3636 UNIVERSITY BLVD S, BLDG C
JACKSONVILLE, FL 32216
Allergy & Immunology (Clinical & Laboratory Immunology)
3636 UNIVERSITY BLVD S, SUITE B-2
JACKSONVILLE, FL 32216
Surgery
3636 UNIVERSITY BLVD S, BLDG B
JACKSONVILLE, FL 32216
Podiatrist
3636 UNIVERSITY BLVD S, BLDG C
JACKSONVILLE, FL 32216
Surgery
3636 UNIVERSITY BLVD S, BLDG B
JACKSONVILLE, FL 32216
Surgery
3636 UNIVERSITY BLVD S, BLDG C
JACKSONVILLE, FL 32216
Allergy & Immunology
3636 UNIVERSITY BLVD S, SUITE B-2
JACKSONVILLE, FL 32216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Toney's NPI number?

The NPI number for Michael Toney is 1023079639. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Michael Toney located?

Michael Toney practices at 3636 University Blvd S Bldg C, Jacksonville, FL 32216. The listed phone number is (904) 731-1711.

What is Michael Toney's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Michael Toney enrolled in Medicare?

Yes. Michael Toney is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Toney accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Michael Toney as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Toney was last updated on February 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.